[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100648829":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":28,"centralContacts":35,"locations":44,"responsibleParty":63,"collaborators":24,"id":65,"slug":66,"hasResults":67,"nctId":68,"briefTitle":69,"officialTitle":70,"acronym":24,"eligibilityCriteria":71,"healthyVolunteers":67,"sex":72,"minAge":73,"maxAge":74,"enrollmentInfo":75,"targetDuration":24,"studyType":78,"phases":79,"briefSummary":81,"conditions":82,"keywords":24,"overallStatus":47,"whyStopped":24,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":88,"completionDateStruct":90,"leadSponsor":92,"locationsCount":93},{"fullName":5,"class":6},"Riphah International University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Strain Counterstrain + SNAG with Common Treatment","EXPERIMENTAL","Strain-Counterstrain (SCS) and SNAGs (Sustained Natural Apophyseal Glides) are two highly effective, non-invasive manual therapy techniques used to relieve neck pain. SCS gently relaxes hyperactive muscles by placing the body in a pain-free position, while SNAGs are movement-based mobilizations that restore joint function and reduce pain",[13],"Other: Strain Counterstrain + SNAG with Common Treatment",{"label":15,"type":16,"description":17,"interventionNames":18},"Strain Counterstain (SCS) only","ACTIVE_COMPARATOR","Strain-Counterstrain (SCS) is a gentle, passive osteopathic technique that treats neck pain by finding tender points and holding the neck in a highly specific \"position of ease\" for 90 seconds. This shortens the affected, spasming muscle, allowing the nervous system to reset muscle spindles and break the pain",[19],"Other: Strain Counterstain (SCS) only",[21,25],{"type":6,"name":9,"description":22,"armGroupLabels":23,"otherNames":24},"Group A (Experimental Group) will receive both Strain Counterstrain (SCS) and SNAGs (30). They will attend 12 sessions in total, three times per week for four weeks. First, the SCS technique will be applied to the upper trapezius, levator scapulae, and scalene muscles. The patient will lie on their back or side while the therapist finds tender points and positions the neck to reduce tension, holding that position for 90 seconds before gently returning it to neutral and checking for pain. After this, SNAGs (Sustained Natural Apophyseal Glides) will be applied, targeting spinal segments like C2-C3 for rotation and C5-C6 for flexion or extension. While the patient sits upright, the therapist will apply a sustained glide on the vertebra as the patient moves the neck in the limited direction. Each movement will be repeated 6-10 times and followed by a reassessment",[9],null,{"type":6,"name":15,"description":26,"armGroupLabels":27,"otherNames":24},"Group B (Control Group) will receive only the Strain Counterstrain (SCS) technique without SNAGs (31). The same neck muscles will be targeted, and the patient will lie in a similar position while the therapist identifies tender points and performs the SCS technique. No joint glides or mobilization will be applied in this group. Both groups will receive a total of 12 sessions over four weeks, with each session lasting about 40 minutes. Pre- and post-treatment assessments will be carried out to measure changes in pain (using NPRS\u002FVAS), cervical ROM, craniovertebral angle (CVA), and neck-related disability (using the Neck Disability Index - NDI).",[15],[29,33],{"name":30,"affiliation":31,"role":32},"Amna Zia, PhD*","Riphah International University, Lahore","PRINCIPAL_INVESTIGATOR",{"name":34,"affiliation":31,"role":32},"Hadeel Mukhtar",[36,40],{"name":30,"role":37,"phone":38,"phoneExt":24,"email":39},"CONTACT","03244686993","amna.zia@kemu.edu.pk",{"name":41,"role":37,"phone":42,"phoneExt":24,"email":43},"Samrood Akram, PhD*","03324806143","samrood.akram@riphah.edu.pk",[45],{"facility":46,"status":47,"city":48,"state":49,"zip":24,"country":50,"countryCode":51,"cosmosGeoPoint":52,"geoPoint":57,"contacts":58},"Ibne sina hospital and research institute.","RECRUITING","Multan","Punjab Province","Pakistan","PK",{"type":53,"coordinates":54},"Point",[55,56],71.47824,30.19679,{"lat":56,"lon":55},[59],{"name":60,"role":37,"phone":61,"phoneExt":24,"email":62},"Sajad Rashid, MS-OMPT","0300 6309825","sajidch71@hotmail.com",{"type":64,"investigatorFullName":24,"investigatorTitle":24,"investigatorAffiliation":24,"oldNameTitle":24,"oldOrganization":24},"SPONSOR","100648829","strain-counter-strain-with-and-without-sustained-natural-aphophyseal-glide-in-non-specific-neck-pain-100648829",false,"NCT07725861","Strain Counter Strain With and Without Sustained Natural Aphophyseal Glide in Non Specific Neck Pain","Effects of Strain Counter Strain With and Without Sustained Natural Aphophyseal Glide on Pain Range Of Motion ,Craniovertebral Angle and Disability in Patients With Non Specific Neck Pain","Inclusion Criteria:\n\n* •Both Males and Females (20)\n\n  * Age 18 and 60 years\n  * pain intensity 3-6 rating on NPRS\n  * Pain localized to cervical or upper trapezius\n\nExclusion Criteria:\n\n* • Cervical radiculopathy(20)\n\n  * History of whiplash injury\n  * History of cervical and thoracic spine surgery\n  * Neck pain associated with vertigo(20)\n  * History of spinal osteoporosis\n  * Vertebral Fractures\n  * Tumours\n  * Diagnosed psychological disorders","ALL","18 Years","60 Years",{"count":76,"type":77},68,"ESTIMATED","INTERVENTIONAL",[80],"NA","Non-specific neck pain is a common problem that doesn't have a specific cause like an injury or disease. It usually includes neck pain, reduced movement, poor posture like forward head position, and some level of disability that can make daily activities difficult. Physiotherapists often use hands-on techniques like Strain Counterstrain (SCS) and SNAGs (Sustained Natural Apophyseal Glides) to help reduce pain, improve movement, and correct posture. This study aims to find out if adding SNAGs (Sustained Natural Apophyseal Glides) to the usual Strain Counterstrain (SCS) treatment helps more than SCS alone in patients with neck pain. We will measure changes in pain levels, neck movement, posture (craniovertebral angle), and daily life impact (NDI) over a four-week treatment program.",[83],"Cervical Pain","2026-07-21",{"date":86,"type":87},"2026-07-24","ACTUAL",{"date":89,"type":87},"2026-06-20",{"date":91,"type":77},"2026-09-20",{"name":5,"class":6},1]